状态运动联合摩腰散外敷治疗寒湿型腰肌劳损的临床观察  

Clinical Observation of Guide State Movement Combined with External Application of Moyao Powder in Treatment of Lumbar Muscle Strain of Cold-Dampness Type

作　　者：陈鹤[1,2,3] 余瑾 林东雄[1,2] 孙平秀 李雪丹[1,2] CHEN He;YU Jin;LIN Dongxiong;SUN Pingxiu;LI Xuedan(The Eighth Clinical Medical College of Guangzhou University of Chinese Medicine,Foshan,Guangdong 528000;Foshan Hospital of Traditional Chinese Medicine,Foshan,Guangdong 528000;Guangzhou University of Chinese Medicine,Guangzhou,Guangdong 510405)

机构地区：[1]广州中医药大学第八临床医学院,广东佛山528000 [2]佛山市中医院,广东佛山528000 [3]广州中医药大学,广东广州510405

出　　处：《中医康复》2025年第4期1-5,共5页Traditional Chinese Medicine Rehabilitation

基　　金：国家自然科学基金项目(81473743);广东省教育厅广东高校科研平台项目(2019KZDZX1041)。

摘　　要：目的:观察状态运动联合摩腰散外敷治疗寒湿型腰肌劳损患者的临床疗效。方法:选取105例寒湿型腰肌劳损患者,并随机分为摩腰散组、状态运动组、联合组三组各35例,均进行常规康复治疗。在此基础上,摩腰散组采用摩腰散外敷,状态运动组采用状态运动疗法,联合组采用状态运动联合摩腰散外敷,每周治疗5天,共治疗4周。对比三组治疗前后中医证候积分、视觉模拟评分(VAS)、Oswestry功能障碍指数(ODI)和腰椎前屈后伸、左右侧屈的肌力值。结果:治疗后,三组患者中医证候积分、VAS评分、ODI评分均较治疗前降低(P<0.05),联合组中医证候评分、ODI评分显著低于摩腰散组、状态运动组(P<0.05),摩腰散组、联合组VAS评分显著低于状态运动组(P<0.05);治疗后,三组腰椎前屈后伸、左右侧屈肌力值均较治疗前提高(P<0.05),且联合组显著优于摩腰散组和状态运动组(P<0.05)。结论:状态运动联合摩腰散外敷有助于缓解寒湿型腰肌劳损患者的疼痛,提高患者肢体功能和腰肌力量。Objective:To observe the efficacy of guide state movement combined with external application of Moyao powder in treatment of lumbar muscle strain of cold-dampness type.Methods:105 patients with lumbar muscle strain of cold-dampness type were selected and randomly divided into three groups:Moyao powder group,guide state movement group and combination group,with 35 patients in each group,all of whom received routine rehabilitation treatment.On this basis,the Moyao powder group was treated with external application of Moyao powder,the guide state movement group was treated with guide state movement,and the combination group was treated with guide state movement combined with external application of Moyao powder.The course of treatment was 5 days per week and a total of 4 weeks.The TCM syndrome scores,Visual Analogue Scale(VAS),Oswestry Disability Index(ODI),and muscle strength values of lumbar flexion,extension,left and right lateral flexion before and after treatment were compared in three groups.Results:After treatment,the TCM syndrome scores,VAS score and ODI score of the three groups were lower than those before treatment(P<0.05).The TCM syndrome scores and ODI score of the combination group were significantly lower than those of the Moyao powder group and guide state movement group(P<0.05).The VAS score of the Moyao powder group and the combination group were lower than those of guide state movement group(P<0.05).After treatment,the muscle strength values of lumbar flexion and extension,left and right lateral flexion were higher than those before treatment(P<0.05),and the combination group was significantly better than the Moyao powder group and guide state movement group(P<0.05).Conclusion:Guide state movement combined with external application of Moyao powder is helpful to relieve pain,improve limb function and lumbar muscle strength in patients with lumbar muscle strain of cold-dampness type.

关 键 词：腰肌劳损 寒湿型 状态运动 状态观 摩腰散 腰椎功能 疼痛 肌力 

分 类 号：R274.34[医药卫生—中医骨伤科学]